Circumcision with plastic Alisclamp technique in 4733 boys: our experiences to reduce complications

Abstract

Background/aim: We aim to report the outcomes of circumcisions performed with Alisclamp and our experiences to reduce the complications.

Material and methods: Complications among circumcised males with Alisclamp between 2015 and 2018 were retrospectively analyzed. Patients were divided into two groups: Group 1 (n = 1429); patients circumcised in 2015-2016 and Group 2 (n = 3304); patients circumcised in 2017-2018. The different technical approaches in Group 2 are as follows:

1) Prevention of bleeding: In Group 2, we didn't pull the ventral prepuce to reduce the risk of frenulum injury and the foreskin was excised approximately 1-2 mm above the base.

2) Prevention of secondary phimosis: In Group 2, regular manual pressure had been applied to mons pubis and we postponed some of the overweight children's circumcision.

3) Prevention of excessive foreskin: The clamp was placed carefully to prevent the glans from moving back and forth.

Results: Secondary phimosis was significantly lower in Group 2 (p = 0.003). Total bleeding and bleeding requiring suturing were significantly lower in Group 2 (p = 0.001 and p = 0.026, respectively).

Conclusion: Technique-specific complications of Alisclamp can reduce with technique-specific modifications.